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NPI Code Detail

MEDICARE: RENE L MORTEN

MEDICARE: RENE L MORTEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument Specialist7471CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HA7471OTHERCAHEARING AID DISPENSER'S LICENSE

General Provider Information

NPI Number : 1699078857
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE L MORTEN
Provider Business Mailing Address
First Line : 750 N COMMONS DR STE 200
Second Line :
City : AURORA
State : IL
Zip : 60504-7940
Country : US
Telephone Number : 630-303-5380
Fax Number : 630-303-5385
Provider Business Practice Location Address
First Line : 4725 HOEN AVE STE B
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-9405
Country : US
Telephone Number : 707-542-1154
Fax Number : 707-542-4818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2010
Last Update Date : 08/03/2020

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Directions to “ RENE L MORTEN ” Practice Location

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